The URL can be used to link to this page

3213 Evergreen DrCASH RECEIPT C1TY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 . . . ( . DATE 19 RE EI EO OM AMOUNT $ I? OOLLARS J A .I 32 , 00 /? GASH tZCHEGK i . ,? Ly L FOR . . . . . ? . . 1 ..? . . ? . . ? FUND CODE AMOUNT ) J -714 I Thank You'" 4 F `,-,3 t, '7". .5'o ? z7.y? White-Payers Copy Yellow-Posting Copy Pink-File Copy Use BLUE or BLACK Ink r----'------------- I For Office Use I Permit#: 4 to O j City of Ea~(,n I I Permit Fee: 22-7• 25- I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Ca 125-/ Phone: (651) 675-5675 I (ll'J Fax: (651) 675-5694 I Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (4:' s" ~U Site Address: 3Z)- i 3 l/ (2CEN EcHt-6 JA)6 1 Tenant: 6' ( E I--z ,iZF 2-Z 13 22 J Suite RESIDENT / OWNER Name: e-0A1'-tR /LA-"0 46H LAAA~ 5 Ah'MA .Phone: Address / City / Zip: F e-- tz D Applicant is: Owner Contractor TYPE OF WORK Description of work: /~F l2oe~ i Construction Cost:/ , Multi-Family Building: (Yes X / No ) Name: T/-/C. Licens : 0201 7c? CONTRACTOR ~~1~ ~.~-c~~/y e # 15-3 Address: J E City: ST I'LIl C.NAL L State: P/Ij Zip: Phone: 7 6 V Contact: RE /Z p- Email: /0 • i'~ ow~ ro Of - C-0 117 A . CoN\ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Copp Sum i7?-~ x Applicant's Printed Name Applicant's Signature Page 1 of 2 CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ' 2- ? DATE 19 re¢ceivEo FROM ? AMOUNT $ I lgll? 5 & OOLLARS ? CASH ?oo -n CHECK roR . „. . , ?.. . _ j5 '514 33 i2. 31 3p ? FUND CODE qMDUNT - ?' J.'l L? ' _' Thank l - BY White-Payers CovY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Te he wmd fer 1 C I' fi N° 9156 ? c Receipt # - - SiteAddress JZZJ LVERGREEN DR Erect ? R1 Occuponq Lot Block 1 Sec/sub. CQACHNiAfJ H:CGALA [" ? Zo?ing R3 Parcel No. 10-18 O 7 5- 3 0 0-(} 1 Repoir [] Fl re Zone NA Enlorye Q Type of Const. V m Name z i T3RUTCF.,? CONPANIES IP1C 1 SUNWOOD DR P O BOX 399 ? ? ? # Storie ? - -/ Addres . ., . s Demolish Q Length I - city t --T CLOUD Phone 252-6262 Grode ? Depth juT Sa. Ft. rvame Addres8. Li: t + - City Phone Sipncture of Permittee A Buildiny Pennit is issued to: BRU7 all work shall be done in occordonte with oll 8u{IQirp Official Assessmenf Woter 3 Sew. Pol ice Firo Eny. Plnnner Counti I Bldp. Off. APC ? Permit Y 34?9-. oo Surchorye 36.00 Plan chetk50 SAC a25.00 Woter Conn. 470.00 Water Meter ?? ' ?O Road Unit Totol r .50 i I?1C on the expross conditlon thni Dto Statutes ond City of Eopon Qrdinances. 1 hereby ocknowledge thot 1 have read this opplicction ond store that the intormotion Is correct and agree to comply with oll applicoble Stcte of Minnesoto Sfotutes and City of Eagon Ordinonces. Permit No. Permit Holder Misc. Permit No. Holder Plum6ing H.V.A.C. Well w r Disp. I S? Ekctric t!? ? Z ? .'? A5a !a ?•r s 1?/ (/a • o 0 Intpsction Date Insp. Other Footings Foundation Framinp ? Rouph Plbp. Rouph HVAC / Inwlation ? Finel Plby. Final HVAC ? ?ZZ Final J Waftr Wacribs Location: G? b C?--? , f • vvsu sewe? l/ `• Pr. Disp. CITY OF EAGAN ?-- 3830 Pilot Knob Rnad, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 BUILDING PERMIT Receipt # Ts b, ?uae ie. 1 OF 6 PL :X FC# v„i,,, $58, 000 Site Address _ Lot 31 e Parcel No. - W Name _ ; Address b City S Name _ Address N° 9155 84 J L L 1 L Y L' illllCriP?17 Lll Erect t QcCUpOf1cy i\ 1 ec/sub. COACHMAN HZG11LA W4 El Z?ing R 310-01 Repalr ? Fire Zone Enlo?gs p Type of Const. v COP1PAN7ES l_NC Move p # Stories D DR., P. O. )30X 399 pen,olish p Length ' Phone 2 52 - 626l 6rode p Depth J7 ? ? Sq. Ft. Appro vals Fees Phone Nar„e BLUf•3ENTALS ARCHITEC2'i3RF. INC Address 6100 SUMMIT DR NO City BRKLYN CTRphone 571-5556 1 hereby ocknowiedge that I hove read this opplication ond stote that fhe informatiop i correct ond ogree to comply with ull opplicoble Stote of Wnnes`o?a $totutes ond Clty of Eogon Ordinar?ces. Siqnoture of Permitiee BRUTGk?R COMPANI A Suilding Permit is issued to: oll work shall be dona in occordarxe with all applicoble State of Mir Buildinp OffiNol Assessmenf Woter & Sew. Police Fire Eny. Plonner Counci I Bldg. Off. APC INC Permit a J u!. V V Surthorpe 29.00 Plon check 153.50 SAC 525.00 470.00 Woter Conn. ?-0 0 Water Meter Road UniF (rG Total ? . 5 0 on ths exprcss condition Ihnt ond City of Eagan Ordinances. Permit No. Permit Ho1tNr Misc. Parmit No. Holder Plumbing l. H.V.A.C. Wsll Water Disp. Sswer Electric Irnpection Dats Insp. Other Foot?ngs Foundation Framiny U Rouph Pl6g. 9-71 p' ,17? -?• ? - Rouqh HVAG Inwlation Final Plbg. C Finsl HVAC Final Water Demibs Location: r YYell • Sewer . Pr. Dbp. . BUILDING PERMIT ?w su -al sw. 1 \/C Lot -' ' Parcel No. CITY OF EAGAN ?T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l? Q 9154 PHONE: 454-8100 Receipt # _ '/ (,'( < </ 6 PLEX $58, Q00 r„*e 3UNE 11 ,0 84 ec Name Ll\V i VLl\ t.Vi'1C!3411 iL O JL a.%, Z Address 1 SUNWOOD DR., P. O. BOX 39S 9 City ST. CLUUD phone 252-6262 C bE?1?1L' Zo Name ?? Addresa ? City Phone Name City I hereby atknowledge fhof I have reod this applicotion and state thof fhe information ?Is correct ond agree fo comply wfth all cpplicoble Stote of Minnealoto Stotutes and Ciry of Eogan Ordinances. t A Bullding Permir fs oll work sholl be do, Buildlnp Offlcial - Permit 4 • 00 Surchorpe 29.00 Plan check 15-3.50 ? SAC 5.25:00 Water Conn. - 00 Woter Meter -63.00 Rood Unit 260.00 Total ' • 0 INC on the axpress conditlon tF+oi a Statutes ond City of Eapan Ordinancea. Erect ? Occuponcy xl zoni.w Repoir ? Fire Zone Enlurya p Type of Const. Move ? # Stories Demolish p Length Grode ? DeptFt,3 `? Sq, Ft. ApProvah Fees Assessment _ Water 8 Sew. Police Fire Enp. Planne? Council Bldg. Off. _ /1PC Permit No. Permit Holder Misc. Permit No. Holder Plumbinq H.V.A.C. y? ?? 1?-?, b. ? Well Water Disp. Sewer Elect.ic q 3 5o t ?3 q o. o ? Inspsction Date insp. Other Footinps Foundation Fnminp ? Rough Plby. Rouph HVA Inwlation Find Plb¢ Finsl HVAC ? Final Water Dasaibs Loeation: VYsll Sower . Pr. D'up. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr C 9153 PHONE: 454-8100 , BUILDING PERMIT Receipt # Ta L. rrA iw. 1 OF b PLEX c- \/-1- $58, cV U .,_,_ JUbIE I1 ... 84 Site Address Lot 3 3 Parcel No. _ IV8f71C Dr<., P.O. sox 399 A?reiA City Phone flW ? Gi?l City $RKLYN CTF phone 571-5550 I hereby acknowledge thnt 1 have reod fhis opplication and siote that the intormotion is wrred and ogree to tomply with oll opplicable Stota of Minnesotu tatutes and Ciry of Eagon Ordinonces. Sipneturo of Permittee ATRUTCE'F Cn1?4PANIFS Erott Occupancy J"' '?r ? Zoning R Repoir Q Flre Zone , E? Enlarpa O TYPe of Const. v Move ? # Stories Demollsh p Length /'7 ' y" Ft. Asuument Water & Sew. Police Firo Enp. Pianner Council Bidy. Off. /1PC Permit '"' I • v v Surchcrge 29.00 Plon check5 3•50 SAC 525.00 Water Conn. 470.00 Woter JNetar 63.00 Road Unit 4'- G 0. U 0 Torol , . 50 INC A Bullding Pertnit Is luued to: ' ? on the express condition ihnt all work sholl be done in accordance wlth o11 opplicabFb StoEe of Minnesoto Statutes and City of Eaqon Ordinonces. Buildirq Officiol ?r 11 - P.E ( `. - -- _ !. ' r . - Pwmit No. Permit HoltMr Mise. Permit No. Holder Plumbing k / CJFy H.V.A.C. We11 Water Disp. Sower Electric A o Q q 4 o a Intpection Date Insp• Other Footings Foundation Freminy fG U Rouph Plbq. Rouph HVA Inwlation Final Plba Finel HVAC Final Water Dex?ibe Locati t Well Sewsr Pr. Disp. T _... .--?.?.-?-- r _.-•- _?. CITY OF EAGAIV N. ? 91 52 . •• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MAi 55121 PH UN E: 454-8100 BUILDING PERMIT Receipt r.. L. ..." 9... 1 OF 6 PLEX Site Addre?a 321 Lot 'S? BIpcJ,c? Parcel No. 1 U ac Name `"`•"' " ""• ` ; Addres? • CLOUD n U b City Phone t Name SA"iE ?? Address ?- City Phone t. Vo,ue $58,000 Dote JUhF 11 1 q 84 Ht ? T G AI? 0 1 ?? -1 1 7 HI C HL ? ? R Repoir ? N/A Fire Zone S INC Enlcrya ? v Type of Corut. ?? . O. F30X 399 0 # Stories ?"10lish ? Length 5- 262 Grode p Depth Sq. Ft. Approrols Feos Name -?__w_._. ?. .......,??.,..?.,?.... ??... Addres? , ` 1. 571-5550 City ? Phone I hereby ackrww the intormorion Stata of Minnea Sipnaturo of P1 /1 Building Pertni oll work sholl be I have reod this application and state thot ond cgree to tomply with all applitable :s and Ciry of Eogan Ordinonces. Assessment Wafer 3 Sew. Police Flro Eno• Plonner Countil Bldy. Off. APC Permit $ 307.00 5urchorfle 29.00 Plan check 153.50 SAC 525. u0 Woter Conn. 470.00 Water Meter 63.00 Rood Unit 260.00 Totol $1,807 • 50 ??- BRtITGI:R CONPAN ES INC I Issued to: on the express conditian thrn ie in ocaordonce wit"ll opPiicobre Stgte of Mimesota Stotutes and City of Eeyan Ordinonces. Permit No. Parmit Holder Misc. Permit No. Holder Plum6ing [ H.V.A.C. e"r1 kS4 wen Water I Diap. 5owsr Eketric ? ?? a l? (!(?. ?V Inspettion Date Insp. Other Footinys Found.tian Framin9 ? Rouph PI6g. Rouph HVAC ? Inwlation f ?g Final Plbg 1TW Final HVAC Final ?/f f Water Dsscribs Location: • Well . ? Sevwr Pr. Disp. . BUILDING PERMIT T. V -J Lw. - Site Addre? Lot ' Percel No. _ W Name ? Addri ?:_.. CITY OF EAGAN ?T 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55127 N? 9151 PHON E: 454-8100 Receipt _ L- c.# vM... n,,.e J U N E 11 , s t3 4 , ,. ?O Name 8? Address ?- City Phone Name ,-•,?,,..1.:?,r,?.? lir.%.iiial.r. i.i, Address ?..? 7T5' CR r.'O ?_ _; ? City _ Phone _. I 1 hereby ocknowledge that 1 have read this opplication and stote ihat the information is correcr and agree to comply with all applicoble 5tote of Minnesoto Stotutes and City of Eagon Ordinances. Sipnnturo of Permittee /1 Building Permit Is issued to: oll work sholl be done in otcoi Bulldirg Officiol nEroct [j Octuponcy " 71I& r ? Zoning Repcir ? Flre Zone Enlarye Q V Type of Const. Move p # Stories _ Demol Ish p Length Assessment Woter & Sew. Police Firo Enp. Plonner Council 8fdp. Off. APC INC 5q. Ft. Feea Permit '' ., -? . .,., Surchorge 36.60 Plan check 174.50 SAC 525.00 Woter Conn. _?? ? Water Meter Road Unit _777.7 Totol ? • o on the express condition that Statutes cnd City of Eopon Ordinances. Permit No. Permit Holder Miac. Permit No. Holder Plum6ing 5`?? a? ?? ? G I6 H.V.A.C. l??- Well Watar Disp. Sewer Ele«.,c 3 t ?J .,?l o. do Inapection Da Insp. Other Foo:?ngs F?ndation Framing Rouyh Plbp. -?i - OfL Rauph HVAC Inwlation Final Plbg. - .S( Final HVAC Final Wster posaibe Location: - YVell ' SevYSr Pr. D'up. ? i.. Receipt 61,)t/? ? Permit No. Fee ? ly d s/c s " Tot 1. Date - z Y- S? 2. Installation Cost ' i 3. Job Add ? ress ? '?- ?- LdtBlk. J 4. Owner A G-5 v 5. Contractor !-?4- Phone "' 2 617 6. Address 7. City State Zip 8. Building Type: Residential Q' Commercial ? Institutional O 9. Work Description: New -f?'/ Add O Alter ? Repair 0 10. Describe 11. Type No. ' Equioment BTU - M. Ea. Forced Air No. EQUipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codeuo this type of work. Signed : oll ? ?(?n?.% for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt -1 'l L J' kL PERMIT EAGAN Permit No. Fee ? `c- ? ? s/c ? r ; Tot. 2.0• 3 c.• i i 1. Date 2. Installation Cost 'Lur L-? ,I. fl' ?. 3. Job Address Blk. _i ?ra(`7 ct ? 4. Owner /? ?-?- .-•.?., 5. Contractor Phone 1- 3 ?% w y 6. Address 7. City State 2ip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe \ Fuel Type 11. No, ' Enuinment BTU - M. Ea. Forced Air .?? No. Equiament CFM Ai ndli : H Mfg. r a ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: ??t.•r..??.-r=for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 do ?) t kly PERMIT Permit No. Fse ? ? G I S/C S ? I i Tot. 1. Date -4 2. Installation Cost ? 3. Job Address 3 ll.ot Bl k. ?_ 4. Owner n / v 5. Contractor ? ?--- Phone " ' ??i 6. Address 7. City State Zip 8. Building Type: Residential Br" Commercial D Institutional ? 9. Work Description: New L?r'? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. ? Equinment 8TU - M. Ea. Forced Air 7 ? No. Evuipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Ai r Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above informat'ron is true and correct, and I agree to comply with all ordinances and codes governin this type of work. Signed : _,?.,?,4 ?.? r_ !?J ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I Receipt L-( h5? ?5 / MECHAAIICAL PERMIT Permit No. `'f K. ? 1 CITY'OF EAGAN Fee FiU rn numbered spaces S/C Type or Print legibly • ti ? Tot. 1. Date 2. Installation Cost ' l 3. Job Address --,`-t. ( ??P[_ ?Ldo?t?,?.,. Blk. Tct 4. Owner ,? ? v 5. Contractor Phone ,?/ 2- 7- 6. Address 7. City State Zip 8. Building Type: Residential Er Commercial ? Institutional 0 9. Work Description: New 0"- Add ? Alter ? Repair ? 10. Describe 11. Ty pe No. ? Eauinment 8TU - M. Ea. Forced Air No. Equipment CFM Air H dli : Mfg. an ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cand. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and carrsct, and I agree to comply with all ordinances and codes gaverning this type of work. Signed : ': ? for e Rough Final Inspections: Date Insp. Date Insp. This is your permit vsrhen numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt L1 4A, MECHANICAL PERMIT Psrmit No. ? b1 1 ? CITY OF EAGAN 2_f, d a Fee ? ? Fill in numbered spaces S/C ' G Type or Print /egib/y Tot. %Y .Y U 1. Date C- Z y- S/ 2, Installation Cost rr 2 /` 3. Job Address 19i --`1_Blk. I ?ract 4. Owner • 5. Contractar Phone 6. Address 7. CitY 8. Building Type: Residential 'Er 9. Work Description: New 10. Describe 11. State Zip Commercial ? Institutional ? Add 0 Alter ? Repair ? Type No. ? Equinment BTU - M. Ea. Forced Air y v No. Equiament CFM Air Handlin : Mfg. ` g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to vern this type of work. comply with all ordinances and cod7?04 Signed : ?i •?-; ? ?f or -? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 Receipt r ? MECHANICAL PERMIT Permit No. J?.? C? CITY OF EAGAN Fee 2-0 FiII in numbered spaces S/C ? Type or Prinr /eglb/y Tot. 2, 1. Date ? Z - 5 2. Installation Cost ? 3. Job Address 3 Z 1 ; - ?l ? n ? Blk. (Tr ? 4. Owner 5. Contractor Phane 2. 3- J 8. Address 7. City State Zip 1 i $. Building Type: Residential L•'-' Commercial O Institutional Q 9, Work Description: New C3' Add ? Alter ? Repair ? 10. Describe Fuel Type 1 11. No, ? Equinment 9TU - M. Ea. Forced Air S L No. Euuipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. i Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt " PLUMBING PERMIT. CITY OF EAGAN /j Permit No. ' Fee k ? Fill rn numbered spaces S/C Type or Print legib/y Tot. . 2 1. Date 2. Installation Cost 3. Job Address, i; rLot Bik. Tract u?C 4. Owner ,' - - 5. Contractor Phone - ` 6. Address 7. CitY State Zip . 8. Building Type: Residential,.D? Commercial ? Institutional O 9. Work Description: New lJ Add ? Alter ? Repair ? 1 10. Descri6e 1 11. No. Fixtures Water Closet No. Fixtures Cesspool/Orainfield ? Bath tubs Septic Tank ? Lavatory Softner ? Shower Well ? - Kitchen Sink Urinal/Bidet Other ? i Laundry Tray l Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 Receipt r PLUMBING PERMIT • Psrmit No. ??' ?• CITY OF EAGAN • Fse Fill in numbered;paces S/C Ty Type or Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address. : ?. i? Lot - 'i Blk. ? Tract,'Lx . 4. Owner ?tr !'e t 5. Contractor A • i ?7?`? i + Phone 6. Address 7. City t_ct l. 'S State Zip 8. Building Type: Residential 0+ Commercial ? Institutional O 9. Work Description: New,El Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs 5eptic Tank Lavatory Softner ? Shower Well _L Kitchen Sink Urinal/Bidet Other ? ? Laundry Tray ? Floor Drains Drinking Ftn. Stop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this tYpe of work. , "Y' ? Signed: ' -;?"?' 1?`-- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,6100 Receipt PLUMBING PERMIT • Permit No. ?- • CITY OF EAGAN • Fee fill in numbered spaces S/C I Type or Prini /egibly Tot 1. Date '• -"i 2. Installation Cost 3. Job Address , ? ? ? vCC'?r- r •J.ot Blk. ? Tract . ; 4. Owner I , A,%.c, p r ' ? 5. Contractor i , ?-, ! `;h, Phone 0 6. Address ,-f?h' 1'?•_ = .: ?? r - --- -- 7. City State Zip - 8. Building Type: Residential -0' Commercial ? Institutional ? 9. Work Description: New-B- Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ? ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : !._ 41 . 0- ' -#or Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt 7 . a u ? `/ PLUMBING PERMIT CITY OF EAGAN Fi11 in numbered spaces Type or Prini legrbly Permit No. Fee . S/C Tot_ ? - - 1. Oate 2. Installation Cost 3. Job Address -._ `'?? +-? •r-4L•ot .j Blk. ? Tract ? 4. Owner ? y 5. Contractor s' i I Ccr Phone 6. Address 4_:'? C ?'. 7. City i_ ,?•,A iln r State t Y] 1.1 Zip ?-. S. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ,0 Add ? Alter O ReQair ? I 10. Describe I 11. No, Fixtures Water Closet No. Fixtures Cesspool/Orainfield -T Bath tubs Septic Tank r Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Oiher ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Ptping Out4e2s 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: -4or ? Rough final Inspections: Uate tnsp. Date Insp. This is your permit when numbered and apQroved. Approved CITY OF EAGAN 464-8100 Permit Raceipt PLUMBING PERMIT • No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Address rCrfi, Lot Blk. ' Tract 4. Owner 5. Contractor ? r = ; t Ci C-f Phone -: ? f-l - ; ` % _•,' ? 6. Address ; .C? 7. City " , x v c? State ? y ? t- Zip •-- ?'- ?' ? . 8. Building Type: Residential-Z Commercial ? Institutional O 9. Work Description: New'6 Add O Alter ? Repair ? 1 10. Describe 1 11. No, Fixtures Water Closet No. Fixtures Cesspool/Orainfield Bath tubs Septic Tank ? Lavatory Softner ? Shower Well / Kitchen 5ink Urinal/Bidet Other ? Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply wiLh all ordinances and codes governing this type of work. Signed . for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 -? Roceipt PLUMBING PERM17 Permit No. CITY OF EAGAN FN , i .- •?' Fill in numbered spacea S/C I Type w Print leyidfy Tot. * 1. Date 2. Installation Cost 3. Job Addrl Bik. Tract , 4. Owner 5. Contractbr ", , . Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional D 9. Work Description: New ? Add?[] Alter ? Repair O 10. Oescribe ` ? • 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo ra n e Se tic T nk ? Lavatory p a Soft er Showrer n Well Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with afl ordinances and codes g vsrning this type of work. Signed : s: • . _foi " Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? PLUMBING PERMf7 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Name m Addre c Cj,}y,r BLOG. TYPE WORK DESCRIPTION Block -= ? ec/Sub ?C-,_C,?\, \ N . Ae?i N, New C '0' Muit Add-on - C Comm. Repair _ Phorte ` I Qther 3 Addr ??/ ??• p City ,4(a(;roi0V FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ApD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMITTEE FOR: CfTY OF EAGAN PERMIT # `- RECEIPT # DATE: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 LBUndry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Oudets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND 70TAL• Receipt Permit No. Fee S/C Tot. PLUMBING PERMIT. CITY OF EAGAN fill in numbered spaces Type or Prini /egiMy 1. Date -• ? '" `? 2. Installation Cost 3. Job Address '? i_ ,? Cf{ r' r l.ot Blk. ' TraCt '• 4. Owner ?---=r 5. Contractor ? C- i ; T, Phone 6. Address 7. City i i?J State Zip 8. Building Type: Residential. ET` Commercial ? Institutional El 9. Work Description: New,,E3_ Add ? Alter ? Repair ? 10. Descri be 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank i Lavatory Softner Shower Well ? r Kitchen Sink Urinal/Bidet Laundry Tray Gther i L_ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certitY that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : A I ? . • , ' , ? e. %for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD ; CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ? ? (651) 681-4675 I SITE ADDRESS:' APPLICANT: I :?1 .a rvc??i,xFuw ai? ?+?-r;?Fi WTNf+()W & '+T!'iTl+li3 1`)A r: N M A N H T 4! 1 k H N Ws ( f, 1:' 1 4 E, t-• F; 8.-c 6 PERMIT SUBTYPE: TYPE OF WORK: Pi r'a I" nrut?t,, r roN ? rtr krjnF! F, ? F ? ? PermR Holder Date Telephone # SEWER! WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL QYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER ' FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. 85MT FINAL DECK FfCi DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road P. ai Bax ?."! 199 Eagan, MN 55121 Zoning: L - Brai ,r \Pwner: reas: ? S e Address• 322 ; . ??lumber: ?'d D'111?h?? ?OC `? yYletar i-- _?;t• , --?i Slze: . ? o Reode No.: IL? I ayrse fo wmYh wif6 Ila Ciryr ef Ee Ordinanam ?? i?-?? CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55721 Zoninp; '•'U;) Owner. Brutk /Wdress: Site Addi Plumber: WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Roac1 PERMIT NO.: P. O. Box 21199 DATE: Eagan, MN 55121 - No, of Units: Z?ing: '>i: I? ??£dw?rsction Charye: ±70. 00 od ?t ?eposir: _ 15.00 nd ? 9an !r?t Fes: - 10.0 Surcharge: insp.. 5E1NER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 0 Dd 50 ?d Mist. Cho rfles: ?- 0 0 p m P t r ? Total: Date Paid. • ?? ? ? ? ? Eegon Ordinenqs By - Date of Insp.; Connection Cha?ye: 4 2 5.00 d Accourn Deposit: 1S. JO pca Pem,it Fee: I'.) . ??!1 ;? d Surcharge: Miac. Chqrpes; Total: eo eomplr wiA Hw Ghr of Eayen Nos. # 15, C'YI or CITY OF EAl3AN 3830 Pilot Kno6 Raad P. O. Bax 21199 Eagan, MIU 551 a- Zonirg: ?Lrl puvrer; rutgt[ IWdress: Sire Address: srgreen Plumber: Ral hi e Plb ? yne to WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: -31-84 of b awn Charpe: _ 4/ U. U U p d unt DeposJh I 510 0 r rI Permit Fee: _ 1 •'1 Oo Surcharge: , S(11 n ? Miac. Chorfler. (:? r)p G•' ta3 Totol: Dots Poid: SEWER SERVICE PERMIT PERMIT NO.: • DATE: % -3 - _ No. of Unirs: d --+vy w, Ni. Cih, o! Ro*o¦ O?alMlllM. Connecrion G+orpe: 42 .99 ci ACOOURt DQ posit: Permk Faa: BY Surcharge: • p Date of Insp,; Misc. Chorpes; ?nsp.: Totoi: ----------- ? Dah Pald: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box'21199 PERMIT NO.: Eagan, MN 55121 D/?TE: 7- 11 -'' Zonin9: p„ `, .+ ?. • No. of Units: ? OMI/1lf: 13 ???I 1ggrM !o oomPly with tba City of Easan o.rtscoe... Yn?-L # 0-n ?,, -,-?, _ CITY 3830 P. O. 'Posit: 1.5 AOpd lII no Pd 2es; 61 _ nn Fj OF EAGAN SEWER SERVICE PERMIT Pilot Knob Road .3r. F,?'):) u Box 21199 PERMIT NO.: 7-31 MN 551'? DATE: ' " Zonfnp; ru ger No. of Units: ? Owrwr: Address: .5219 ergreen vttve oac man g i-irxc 9 Site Address: !'- Plumber: ? Iph 9 P b? (1-127-64 W714 • 1 yres to eanvh? whb t`e G1p of Eaonm Connection aorge: 425.00 pd .00 Ordtnenea. AccourK Deposlt: p Permit Ae: 10.00 p Surcharye: _ ' P By Misc. Chot'pes: Date of Insp.: Totol: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Roed ' 5615 P. O. 60:: 21159 PERMIT NO.: 7_ 31- S4 EurZoning: n, MN 55121 DNTE: ?a"U J No. of Units: o f F' gwner: BT.'llt??GS3: lllk ?7 S I Addrcss: ?r: -rRi??? R ?- C. ' -? 470.0o vd r No.: R`. u?cri?, aor?: 15 00 1 -) a Stze: " ?'c''? •r " -- Reade No.: Q.1 L 8' D 1 y ---- 1 nyne eo eawpll? willi Nw Ciry of Eagow Ordi"nees. BY Dote of I nsp.: nt Deposit: lo. oo ,: _ Permit Fee: 5U po Surcharge: Misc. Cha,ges: 63 00 pd mecer Toto1: Date Paid: - MN 55121 DATE: ? No. of Units: Conrnttlon Clwrpe: Account Deposit: _ Sur+chorpe: - M(sc. Cho?yes: By Date of Insp.: Total: Insp.: Date PoW: ? CITY OF EAGAN 3830 Filot Knob Road ? P. Q. Bc,jc 21199 : Eagan, MN 55121 Zoning: ?' ;. . ` Qwner: 1?•\4J??rc?. : ?t(te /1ddress? _?• - ? umber: WATER SERVICE PERMR PERMIT NO.: DATE: Mo. of Units: L35 B1 Coachman Highland er No.: ??cd-_? of nection Charge: v/ U. Uu ? Jze: '? : ?+d/ ? _.'? Y1lfcount Depos7t; - 15. 00 - - I' Reader No.: a 4 4- 8 D D permit Fee: 10.00 pc] 1 ageae to oomply whb the Ci1y of Eagan Surchurge: .50 nc ? Oedinaneas. Misc. Chorpes• 63•90 n d r?c>t::- • ? ? ' Total: ?? ` ? ?Y --?7 Date Potd: Dote of Insp.: ? s Insp,: , c"?,--- • -- ... -?------? .. i - CITY OF EAGAN SEINER SERVICE PERMIT 3830 Pilot Knob Road , 6607 P. O. Box 21199 PERMIT NO.: Eagan, MId 55121 DATE: •"-? zo,ing: `. ? No. of unics: 1 nf 6 nrutger Owner; Address: Site Addi s Plumber: 1 eom to eempy whh ehe City of Eesow ConnecNon ChwQe: 425.00 pd Qrdineeeas. AccourM Deposit: 15.00 pd Permit Fee: 10.00 pd Surcharge: 50 pd QY Misc. Chorges: bcte of Insp.: Total: Irrsp.: Dots Paid: 'ITY OF EAGAN ?830 Pilot Knob Raad WATER SERVIC E eCRlIFri . T P. O. Box 2;,199 PERMIT NO.: Eegan, IiAN 55121 DATE: Zoning: ' No. of Units: 1 o i E? Owner: ? z u t g ^? F 53 ? Add?ess: ? '-'' te Address: !?flk14 B1 Cpachman 'r=i hl ar.cis lumber. ter No.: ??;.?. ..,?? ?;Z D ? . , . -• ionChorge: ct 470.0C pt'l r?.` SIZ@. &/J ? ? ! DCp6Sif: 15.00 P Reode No.: 0-3 ?- 32 7910 permit Fee: P 1 agra- !o somply with tha City of Eegan Su?che?ge: .50 P Ordinoaoss. M[sc. Chorges: '3 . 0 G n ci t 7otel: ? 8Y 2'`'''X Date Pcid: ' Date of Insp.: 4 4 4.a / Insa.: ..rw... - NEvi I.ITWu nvau P. O. gox 21199 6806 PERMIT NO.: Eagan, MN 55121 DATE: 7_31_,r,4 Zoning: r''!' No. of Units: ? of E Owner: "2'jtF•rx' Address: Site Addi Plum6er. I syroe M wmply wilh fhe C!!r of Eaya¦ Ordinenees. By Dote of Ir,sp.: 425.00 Coarkeaton Chorse: Account Depoait: 15.00 Permit Fee: Aki , 0 Surcharge: .50 p?t Misc. CFwrges: Total: Date Poid; CITY OF EAGAN Remarks Addition C4ACFII1AN NIGH.AImS Lot 31 eIk 1 Parcel 10-18075-310-01 Owner 5treet 3221 BVBRGREBN DRIYE state FAGAI+1 MN 55121 Improvement Date Amount Annual Years PaVment Receipt Date STREET SURF. 2, p 197S Paid und r arcei 10 2750 -010-03 STREET RESTOR. 1974 N tf GfiADING 1007 1986 354.14 35.41 10 ,y! 0-/0 /0-l5-g- SAN SEW TRUNK 1268 Paid u lO 27 -Ol -O3 SEWER LATERAL 1994 11 • WATERMAIN , 1 WATER LATERAI S'Z 197-5 tl tt u ? WATER AREA 1977 1t 1f rf ?57i tt of It STORM SEW TRK 2-6 1 H H ' STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD UNIT • 6-12-84 WATER CONN. 470.00 If BUILDINGPER. SAC PARK CITY OF EAGAN Remarks i )I U ,?' i ' ' _ ' 1,? ', _ Addition COACMMAN HIGHLANU3 Lot 30 Rlk i Parcel 10-18075-300-01 Owner Street 3223 EVERGRBFN DRIVB State ?GAN MN SS121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j STREET RESTOR. it it of GRADING 1007 86 354.14 35.41 10 ,4 /072-5 16 -/5- XS SAN SEW TRUNK 10, SEWER LATERAL 1994 t? of of • WATERMAIN ? 1972 p - 3 WATER LATERAL 1975 t? n I I * WATER AREA 1972 tt to tt L92 1975 11 It 11 STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD UNIT $260.00 #44004 6-12-84 WATER CONN. 470.00 11 11 BUILDING PER. #9151 sa,c 25.00 " " PAR K CITY OF EAGAN Remarks Addition CGA?M RIGHLANDS Lot 3S aik 1 Parcel 10-18075-350-01 owner screet 3213 EY$ROREBN DRIVB state EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? ? p?d und r a1, 1 10- 2750 010- 3 STREET RESTOR. !$S 1974 it it GRADING 1007 1986 354.14 35.41 10 -16 7 9/ /-/ - 5AN SEW TRUNK Q 196$ Paid und r rcel 10 2754 -010-Q3 SEWER LATERAL 1984 n tt n • WATERMAIN /7 1972 Paid und ? C81 10 Z7S0 -010-03 WATER LATERAL 1975 • WATER AREA 1972 i? 11 n WATER LATF:RAL T7- 1975 STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTEFI ' SIDEWALK STFIEET LIGHT ROAD UNIT $260.00 ao 6-12-84 WATER CONN. 470.00 8UILOING PER. 156 SAC 5 . PARK CITY OF EAGAN Remarks v' Addition- • COACtW NIGHI.ANDS Lot 32 Blk i Parcel 10-18075-320-01 owrner screet 3219 EVFRGREFN DRIVE scate BAGAr1 14M 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2-10 1975 p d e 7 - 1- STREET RESTOR. 1974 tl o1 to GRADING 1007 1986 354.14 35.41 10 35 /Q SAN SEW TRUNK qr) 1968 Fiid anei 10 2750 -010-03 SEWER LATERAL 1984 tt t 11 n • WATERMAIN 1972 Paid r STCO1 1 Z750 -010-03 WATER LATERAL 175 tv iI o1 +? WATER AREA 1972 tt H M ,o „ STORM SEW TRK &$ 1975 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT ROAD UNIT $260.00 44004 6-12-84 WATER CONN. 470.00 " " BUILDING PER. 11 rT sa,c 525.00 " " PARK CITY OF EAGAN Remarks nl • 1 `? ? ? I ?' ? '-' _ Addition I C.OAC?M HIC1HLANDS Loi 34 Bik 1 Partel 10-18075-340-01 owner screec 3215 El/MREEN DRIVB state PAGAN AW SS121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Z D 1975 Paid una r arcei 10 2750 -010-03 STREET RESTOR. ,9 1974 of It ' GRAOiNG 1007 1986 354.14 35.41 10 3 ,// - Q 720 Q-/5 ff SAN SEW TRUNK 1968 Paid und arcel 10 2750 010-03 SEWER LATERAL 1984 to to WATERMAIN 1972 Paid udn arCe! 10 Z75O -a10-03 WATER LATERAL Z92- 1975 of of * WATER AREA 1972 is It wATFA LATERAL Z-%Z, I975 " STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT $260.00 #44004 6-12-84 WATER CONN. 470.00 BUILDING PER. SAC 525.00 PARK CITY OF EAGAN Remarks Addition JC011iCtMAN HIGH.ANDS Lot 33 Bik 1 Parcel 10-18075-330-01 Oiemer ' Street 3217 EYER6REEN DRIVB State EAGAN MA1 55121 Improvement Date Amount Annual Years Payment Receipt Oate STREET SUFiF. 7 . STREET RESTOR. $ ? it of of GRADING 1007 1986 354.14 35.41 10 -/0 /0 - `- . 5AN SEW TRUNK SEWER LATERAL 1994 ft t? 1? • WATERMAIN I( 1972 P d und r mrcel 1 Z7 WATER LATERAL ?, 1975 ?t nn n * WATER AREA 1972 11 tr u ? 2- 1975 It tt 11 STORM SEW TRK 'Zg 1 7S STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT $260.00 #44004 6-12-84 WATER CONN, 470.00 BUILDING PER. SAC PARK ?jl11LDINL-r AZ CITY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 Site Plan w/eleVation5 & 1 set of_ er.ergy cal.culations. Tb Be Used For Townhouse Valuation ?? $-7Z,G00.°= Date F",ay 24, 1984 Site Pddress: 3223 ?ewflake ?' e?VERCaRCC-N DR. OFFICE USE ONLY IAt 30 B10Ck 1 S2C./Sub. Coachman Highlands Parcel U? - 6 / Owner: Brutger Companies, Inc. Addresg: One Sunwood Drive, P.O. Box 399 r.TECt X_ OCCUjJZC1CY Alter zoning R 3 Repair Fire Zone N /A Enlarge _ Type of Const. Nbve # Stories ieTmlish Front ft. Grade D th ft • City/Zip Code: St. Cloud, MN 56302 ep . Phone #: (612) 252-6262 APPROVAL6 FT:ES Contractor: =^,tg=- unpanies, Inc. AC1dr255: C:e st:nwooc Drive, P.O. Box 399 City/Zip Code: St. C1cud, MN 56302 Phone #: (612) 252-6262 Arch./II1g.: Blumentals Architecture, Inc. Pddse55: 6100 Summit Drive North Assesstrents PeLmit WatQr/Sewer - ?'-: Surcharge 36 °° Police ; Plan Check I^I Fire SAC 525 "-° Eng. Water Conn. planner Water.Meter Council Road Unit 2(00. W Bldg. Off. APC City/Zip Code: arooklyn Center, MN 55430 ?? O 7 7 S ? Phone #: (612) 571-5550 'IUTAL CITY OF EAGAN ? I . " 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1N . 9156 PHONE: 454•8100 BUILDING PERMIT Receipt # Te ba umd Fer 1 OF 6 PLEX Est. Volue $72,000 Date TIiNF. 1] SiteAddress 3223 EVERGREEN DR Erect Occuponty Rl Lot 30 Block 1 Sec/Sub. COACHMAN HT('HT^p ? Zonin9 R3 Parcel No. 10-18075-300-01 Repair ? Fire Zone N/A Neme BRUTGER COMPANIES INC nddress 1 SUNWOOD DR., P.O. BOX 399 City ST CLOUD phone 252-6262 O Name SAME ?Y Address i- City Phone WwlName BLUMENTALS ARCHITECTURE INC tz 00 SUMMIT DR NO x? Address ?W cty $RKLYN CTRPhane 571-5550 I hereby ockrwwledge thot 1 hove read this application ond state thot the inlormation is correct and ogree to comply with ull opplicoble Slate of Minnesota Stotutes and City of Eagon Ordinonces. SiOnoture of Permittee A Building Permif is issued fo: i3KU7'li j CUMYI all work shall be done in accordance with all o " ble State Buildin0 OFfic(ol A Enlorge ? Tvce of Const. V Move ? # Stories ? Demolish ? Length I r,y Grade ? Depth aV_Sq. Ft.- ADOrovals Fees Assessment Permit y5 349-00 Woter&$ew. $urchurge -IF+-00 Police Plan check 174.50 Fire SAC 525.00 Eng. Water Conn. 470.00 Plonner WaterMerer 63.00 Council Rood Unit 260.00 81dg. Off. APC Total S1.877..50 %- on the express condition thm Statutes ond City of Eogan Ordinances. pjL11LD?KI (? I dF, (,?, . A 2 9/5rJ , CITY OF EAGAN ??- BUILDING PERMiT APPLICATION Zb Be Used Fbr Townhouse Site Pr3dress 3221 Everqreen nrive Lot 31 Bloc)c 1 Sec./Sub. Coachman ParCel #: _/Z) -/9,0 2 S ` 3 j0., Hoi qhlands L Owne-r: Brutqer Companies Inc Addre55: One Sunwood Drive, P.O. Box 399 City/Zip COde: st. Cloud, MN 56302 PhoIi2 #: (612) 252-6262 COritraCtAT: Brutqer Companies Inc Addr255: One Sunwood Drive, P.O. Box 399 City/Zip Code: st. cloua, caN 56302 Phoile #: (612) 252-6262 ArCh-/ESxJ.: Blumer.tals Architecture, Inc. AddreSS: 6100 Summit Drive North City/Zip Code; Brooklvn Center MN 55430 Phom #: (612) 571-555n Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Valuation 63,5,.eea0 ?p °D Date May 24, 1984 OFFICE USE ONLY Erect )( Occupancy Alter Zoning (z-3 Repair Fire Zone N j Enlarge Type of Const. ? _ bbve # Stories Demolish Fxont ft. Grade Depth ft. APPROVNS FEEg Assesszrents Perntit 30 -7 ?2 Water/Sewer Surcharge j_- Police so Plan Check I 5 3 Fire , SAC G2 , E0 E4• Water Conn. °- P1a1ner Water Meter council goad Unyt 260 00 Bldg. Off. AFC 'IOTAL 11 go 7 5 v • CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55727 AT 1?1 ? 9155 PHONE: 454-8700 BUIIDING PERMIT RecelDt # To ba usad ier 1 OF 6 PLEX Est.Value +558,000 Dore JUNE 1 19 84 StteAddress 3221 EVERGREEN DR Erect Rl Occupancy Lot 31 slock 1 sec/sub. COACHMAN HIGHLAW§ ? Zoning R3 Percel No. 10-18075-310-01 Repoir ? Fire Zone N/A Enlorga ? Type of Const. V Name BRUTGER COMPANIES INC ,4ddress 1 SUNWOOD DR., P.O. BOX 399 c;ty st. cloud Pnone 252-6262 SAME o Name ? Address ? ? City Phone u,w Name BLUMENTALS ARCHITECTURE INC i7 Address 6100 SUMMIT DR NO 'W City BRKLYN CTRphone 571-5550 I hereby acknowiedga fhat 1 hava read this application ond state thaf the informofion Is correct nnd ogree to comply with ull opplicable Stote of Minnesota Statutes and City of Eogon Ordinunces. SipnMUre of Pertnittee A Building Permir Is issued to: BRUTGER COMPANI oll work sholl be done in accordonce wifh all pplitable fate of Ml? Buildinp OfHcial 4=-" Move ? .{k Stories Derrwlish ? Length ? ? u ? Grade p DepTh?4-_Sq. Ft.- Approrals Feea Assessment Permit $ 307-00 Water & Sew. Surcharge ?9 - 00 Police Plon check 153 _50 Fire SAC -+9 5-00 Enp. WaterConn. 470.00 Planrror WaterMeter 63.00 Council Road Unit 260.00 Bldg. Off. APC Totol $1,807 .50 _ on the express condition ihni ond City of Eagon Ordinancea. Dt11 L PI N C. AZ CITY OF EAC'?AN Include 2 sets of plans, ? 1 site plan w/elevdtiOns & BUILDING PERNLiT APPLICATION 1 set of_ er.ergy cal.culations. To Be Used For Townhouse Valuation Date P1ay 24, 1984 site ndctress: 3219 qnm;x4i QiE2 ^ariee MJtJ26(2? I, OFFICE USE ONLY Lot 32 Bloclc 1 Sec./Sub. Coachman Erect k CcauPancY ?-1 Parcel #: / D -/ ? - Y 3 ? xighl nds A1ter 2 ( - o? Zoning ?-3 , o , , ) Repair Fire Zone Enlarge Type Of COnSt. 3z: OWn2r: Brutqer Companies, znc. _ Move # Stories PdC1T'e55: One Sunwood Drive, P.O. Box 399 DPl[lOllsh FTOnt ft. City/Zip Code: st. cloud, Mrr 56302 Grade Depth ft. Phone #: (612) 252-6262 APPROVALS FEES CAritSaCtAr: Brutger Companies, Inc. AddT2S5: One Sunwood Drive, P.O. Box 399 City/Zip Code: st. Cloud, MN 56302 PhORe #: (612) 252-6262 Arch./Ehg.: Blumentals Architecture, Inc. Pddres5: 6100 Summit Drive North Gity/Zip Code: Brocklyn Center, MN 55430 Phorle #: (612 ) 571-5550 Assess7nents Pernut 3D1 . `?' Water/Savqer :. Surcharge Police ? Plan Check ? 53 • 5D Fire SAC Eng. Water Conn. Plannes Water Meter Council Road Unit (,p.oo Bldg. Off. APC _--- ROPAL J ? ? ? 7 ' SO CITY OF EAGAN ? . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l?l? 9154 ' PHONE: 454-8700 BUILDING PERMIT Receipt g OU T. 6e utad hr 1 OF 6 PLEX Est. Volue $58,000 pate JUNE 11 lq 84 SiteAddress 3219 EVERGREEN DR Er"t g a?upancY Rl Lot 32 slock 1 ?ec/Sub. COACHMAN HIGHLAWq ? Zoning R-T-- Parcel No. 10-18075-320-01 Repair ? Fire Zone N A Enlarge ? Type of Const. V rc Name BRUTGER COMPANIES INC Move i 1 SUNWOOD DR., P.O. BOX 399 ? # Stories Address Demolish [I Length ?? ? City ST. CLOUD phone 252-6262 Gmde ? Depth?!{' Sq. Ft.- rc N SAME APDrorals Faea o ame ?U Address ? Assessment Permit 307 • 00 City Phane Woter 8$ew. Surchorge 29.00 k-1 5-T. 5 0 Pl h BLUMENTALS ARCHITECTURE INC m Gw N Police on c ec 525.00 a e tz 6100 SUMMIT DR NO Fira SAC 470 00 xo Address Eng. . Woter Conn. u BRKLYN CTR 571-5550 Wz Phone City Plonner 63.00 Water MeYer Council Road Unit 260.00 I hereby acknowledge thot 1 hove reod this applicotion ond state thaf gldg. Off. - the inlormation is correct and a9ree to tomply with all applicobla APC Totol +S1• 8?7.5? Stote of Minnewta 5latutes and City of Eo9an Ordirwnces. Signafure of Permittea A Building Permit Is issued to: BRUTGER COMPANIES INC on the express conditian Ihnt oll work sholl be done in cccordonte wit oll p iwble 5 te o Minnesota Stotutes and Ciry of Eapan Ordirwnces. Building OfFldal -C --E? 2. E)U I L D! N U'A2 '? CITY OF EAGAN Include 2 sets of plans, I?jF (o S?-? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. Zb Be Used For Townhouse Site Ptldress 32?? Everqreen Drive Iot 33 Bloclc 1 Sec./Sub. Coachman PaYCel #: /0 10 )S -, 230 _ H?qhlands Owner: Brutqer Companies Inc. ACkli'255: One Sunwood Drive, P.O. Box 399 Clty/Zlp COCle: St. Cloud, MN 56302 PhOite #: (612) 252-6262 COritYdCtpr: Brutqer Companies Inc AddL'2S5: One Sunwood Drive, P.O. Box 399 City/Zip Cod2: St. Cloud, MN 56302 Phone #: (612) 252-6262 Arch•/E'19.: Blumer.tals Architecture, Inc. AddLLe55: 6100 Sucunit Drive North City/Zip Code: _ grooklvn Center MN 55430 PllOne #: (612) 571-555n Valuation $}5°° Date Mav 24, 1984 OFFICE USE ONLY Erect Oc,cupancy ?- ? Alter zoning R. 3 Repair Fire Zone Enlarge _ Type of Const. ? mve # Stories Dgnolish Fmnt ft, Grade _ Depth ft. Hssess-ments Permit ?aater/Scaer Surcharge Police Plan Check_ Fire SAC En3• Water Conn. Planner Water Meter Council Rnad Unit Bldg. Off. - APC Zl7I'AL 4, 5 3 7 • ,:3 O ' CITY OF EAGAN . N? ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 9153 PHONE: 454•8100 BUILDING PERMIT Receipt # T. be wad fer 1 OF 6 PLEX En,yalue $58,000 pate JUNE 11 19 84 SiteAddress 3217 EVERGREEN DR Erec t pX ccuponcy O Rl ct Lot 33 Block 1 Sec/Sub. COACHMAN HIGHLA•mqnta ? Z oning R3 Percel No. 10-18075-330-01 Repair ? Fire Zone N/A Enlarge ? Type of Const. V ? Name BROTGER COMPANIES INC Move ? # Stories Z Address 1 SUNWOOD DR., P.O. BOX 399 ?rtfOlish ? 'yy Length_ (l ? City ST CLOUD phone 252-6262 Gmde ? t Depth 3?? Sq. Ft.- ? AME Approvab Feas ,o Name F ?? Address r City Phone ?W I Name BLUMENTALS ARCHITECTURE INC i? Address 6100 SUMMIT DR NO sZ,. City BRKLYN CTRphone 571-5550 Assessment _ Water & Sew. Police - Fire Erg. Planner - Council _ 1 here6y ocknowled9e thot I have read fhis apDlicotion ond state that gldg. Off. fhe intormotion is correct and ogree to comply with oll opplicable APC - $tofe of Minnewto Statutes ond City of Eugan Ordinances. $i0noturo of Permittee Permit 07•00 Surcharge 29 • 00 Plon check 153.50 SAC 525.00 Water Conn. 470.00 Woter Meter _6L3.:00 Road Unit 25n-00 Total $1,807.50 A Building Permit Is Issued ro: BRUTGER COMPANIES INC on the express condirlon thnt all work shall be done in accordonce with a}f ?ppliwbJe "o of Minnewto Statutes ard Ciry of Eagan Ordinances. Building Officiol / ? OF (o ' CITY OF EAGAN Include 2 sets of plans, 1 site Alan w/elevations & BUILDING PERMIT P,PPLICATION 1 set of er.ergy ca].culations. 2b Be Used For Townhouse Valuation Date May 24, 1984 Site Address: 3215 ftewf±zrke--Br4ve ?!E{Z(a?2?,( pR. OFL'ICE USE ONLY Lot 34 Block 1 Sec./Sub. Coachman Highlands Parcel #: /D - «CC 7S` _ -?o` U/ Or7ri2r: Brutqer Companies, Inc. AddreSS: One Sunwood Drive, P.O. Box 399 City/Zip Cocle: st. cloua, MN 56302 Phone #: (612) 252-6262 r:iEC:t _X QCCl1pV1Cy F- -I Alter Zoning E-3 Repair Fire Zone N /16, Enlarge Type of Const. Nbve # Stories Demlish Front ft. Grade Depth ft. APPROVALS FEES CAntsactAr: -^u'_ger C-anies, Inc. P,ddress: C^e Sunwood Drive, P.O. Box 399 Gity/Zip Ccde: st. Cloua, Mta 56302 Phone #: (612) 252-6262 AYCh./IIlg.: Blumentals Architecture, Inc. Addr255: 6100 Summit Drive North City/Zip Code: Brooklyn Center, NAI 55430 PhOn2 #: (612) 571-5550 Assesssmnts Pezmit -?01 . =v Water/Sewer =>.:Surcharge 29.'- Police Plan CheckC5 5 Fire SAC ?25 •`° Eng. Water Conn. 4 -7D o? planner Water Meter 63 Council Road Unit Z(ob. ? Bldg. Off. APC nrrAL 7• ? v CITY OF EAGAN ? .. : 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 9y,52 PHONE: 454-8700 BUILDING PERMIT Receipt # ? O _ Te M uaed br 1 OF 6 PLEX EN,yal? $58,000 pate JUNE 11 , 1984 3215 EVERGREEN DR Site Addre¢s Erecf pX Occuponcy R1 1 Lat 'i4 slock cec/Sub. COACHMAN HIGHLAW61 ? Zoniny R3 Parcel No. 10-I8475-340-01 Repoir ? Fire Zone N/A Enlaroe ? Tvae of Const. V Name BRUTGER COMPANIES INC Address 1 SUNWOOD DR., P.O. BOX 399 City ST_ CLOUD phone 252-6262 p Name _ ?? Address f Citv Phone Gw Name BLUMENTALS ARCHITECTURE INC ri 6100 SUMMIT DR NO x? Address BRKLYN CTR 571-5550 <W City Phone Move ? # Stories Demolish ? Length -V u Grade ? Depthiy?tfSq. Ft.- Apvrovals Fees Assessment _ Water & Sew. Police - Fire Eng. Plonner ? Council _ 1 here6y acknowledge thof I have reod Ihis aDPlication ond slafe that gldg. Off. the inlormation is correct ond ogree to camply with all upplicable AP? _ $tate of MinnesoM Stotutes and City of Eogon Ordinances. Sipnoture of PermiHee Permit $ 107 00 SurcFwrge 29.00 Plnn check 153.50 SnC 525.00 Woter Cona 470 00 WaterMeter63- 00 Rood Unit 26 n-00 roral $1,807.50 A Building Permit Is issued ro: BRUTGER COMPANIES INC on the exprexi condition tha+ oll work sholl be done in accordont if I oDD?ica?6?Sf?e of_ Minneesota Statutes and City of Eagon Ordirwnces. i .?{-? Buildinp Official O?i..L?-? CITy pg EAGAN Include 2 sets of plans, ? D.?. ?' ? 1 site plan w/elevations & B[SILDING PERMIT APPLICATION 1 set of energy calculations. 7b Be Used Fbr Townhouse Valuation Date May 24, 1984 Site Pc]dress 121-?> Evergreen Drive Tot 35 B10Ck 1 Sec./SUb. Coachman ParCel JD - j80 7S ,Highlands OWI1E'L: Brutqer Companies Inc. AddT2SS: One Sunwood Drive, P.O. Box 399 Clty/Zip Cpde: St. Cloud, MN 56302 Phone #: (612) 252-6252 OFFICE USE ONLY Erect X Occupancy R Alter zoni.ng `? - 3 Rspai.r Fire Zone ?y? Enlar4e _ ZYpe of Const. 7E Mve # Stories Damlish Front ft Grade Depth ft ContractAr: Brutaer Companies Inc. P13dYeSS: One Sunwood Drive, P.O. Box 399 City/Zip Code: st. cioua, Mrr 56302 PhOlle #: (612) 252-6262 AT'Ch•/E,17g-: Slumer:tals Architecture, Inc. Pddress: 6100 Summit Drive North C1tyfZlp COdE: _ grooklyn Center MN 55430 PhCne #: (612) 571-5 0 Assessire,ts Pesmit 349. 22 ?aater/Seaer Surcharge 3Cn o° Police Plan Check I-l 4. L5? Fire SAC e,Zc) Eng. Water Conn. 4 770 o0 Planner : Water Meter fp 31 -" Council Rflad Unit 26o0, 'v Bldg. Off. APC Tarr.r. /) &7 TS d CITY OF EAGAN A ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l?l? 9151 PHONE: 454-8100 BUILDING PERMIT Receipt # O Te 6e uke Fe. 1 OF 6 PLEX FN v„i,,. $72.000 n,,,o JUNE 11 ?a 84 SiteAddress 3213 EVERGREEN DR Erftt ? Occupancy Rl Lot 35 elock 1 Sec/Sub. COACHMAN HIGHLANR4, 0 Zo?ing R3 varcel No. 10-18075-350-01 Re ir po ? Fire Zorro N/A E l T f C V n orge ? ype o onst. a Name BRUTGER COMPANIES INC Move p # Srories Z Address 1 SUNWOOD DR. , P.O. BOX 399Demolish ? Length_=?Ly ? City ST CLOUD phone 252-6262 Grode ? Depth 3L' t Ft S q. .- Approvals Faes o ?? /- Name Address City Phone P?ssessment - Water 8 Sew, tw nlame BLUMENTALS ARCHITECTURE INC Police Fire ?z _ 6100 SUMMIT DR NO Address E o n0• ?W City BRKLYN CTI{,hone 571-555? plonner _ Council _ I hereby acknowledge that I havo reod this apDlicotion ond stote that Bldg. Off. - the inlotmafion is torrect and agree to tomply with oll oppliteble $tate of Minnesota $tafutes and City of Eogon Ordinances. SAME APC Signature of PermiMea _ A Building Permif Is issued to: oll work shall be done in occo Buildirq Officiol Pemit S 349.00 Surchorge 36.00 Plan check 1 74 _ SO SAC _sq5_00 Woter Conn. 470.00 WaterMerer 63.00 Rood Unit 260.00 Tata?T 5 0 on the express cordiflon thni Stotutes and City of Eagan Ordinances. 2/84 :Erff 42 CITY OF EAGAN E 1 APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTIODi (PLEASE PRIHT) 1) PP.OPER17 ADDRESS: Jo2?? cver2c??U rFraI, DESC2iZ°TICV: 3S ';e ? , , Rl? cr R-? , (Lot/Block/SL?f?cLivision or Tax Parcel I.D. N=ber) ? l: E:'SST^:G b"TRtiC"IU^.2E, DRT' GF ORIGi::AL nii2LDI:IG PZF;•±T.m Ic=;,.NC`? : ? F2.S^_r- 2"^=F:/F:?C°CSc.D US ;: ? R-1 SI?IGZ.°. PaytS:.Y ? ? 2 GUPL? ('?tiSp Wi ITS) ? `S R-3 TGStiNHCi;SE (TfLRE^ + LINZTS) ( UNZTS) ? R-4 ApAR'?P"F'^:T/CO=•L.T?iIIUM ( Wi ITS) ? Ca+MEf2CIAL/RbTAIL?OFFT_CE p MUSTRSAL Q INSTITUTIONAL/GOVER?TP 2) AppLDZZ?,?V? ? (PLEASE PRINT) NAhSE: ` .I?C ?Q2A?r ? ADDRESS: `- < SIi\3la9nn[1 CITY, STATE, ZIP: Z31. C'`r?tjrt. MIJ PHO.IE: 3) pu,,? NFi?: ?\ C PLEASE PfiINT) ? FOR CITY USE OHLY 9q ? ADDRESS: ?I ? u l, S 1? 2;s PlUMBEflS UCE4SE: ... lA. M Aetive CITY, STATE. ZIP: i?l??-.e?•. Q Expired PxoiNE: 173 PLUMBER LICENSE # Q Nat of Record att nitia 4) OCCJPANT/CJi'7[IER NPhIE: (PLtASE- PRtNi) ADDRESS: CITY, STATE, ZIP: PFKWE: 5) INpIG,'I'E WHICH PEP,h1IT IS BEZNG REQiJESTID: ? 031,1NECPION 'ICJ CITY SEV]ER O'CO:'.ISCTI0.1 'Iq CITl' WP,TER ? dI'EM (PLEP,SE DESCRIBE) b) ?DIG,TE O:E: ? PLF?SE I?OID APPR(7VID PEfhtitiT E'OR PICK-UP BY ONE OF I1BC7VE ?°LFASE NAIL APPRO= PER`LIT 'IC) 1, 2, Q 4 AEWE (Circle one) 7) SIC='ILm: DATE: _ /- 001e04:444M s.e?nr???:.?-:a.es?s::a:a: ? ...... .... . `. F O R PERMIT ° ISSUED C I T Y U S E O N L Y FErs= $ S°i'iE? SuaC.. ti ?R ., (".) $ WATER PES2P4IT (INCLUDE SURCHARGE ) $ a-b WATER METER/COPPERHORN/OUTSIDE READER $ WATEP. TAP (INCLUD.^ CORPGRATZON S:C?) $ SE:dER ?'LD $ ACCOUNT DEPOSIT - SEi^lER $ ACCOUNT DEPOSIT - WATER $ .sl 9 0 - °"? WAC $ SAC +S TRUNK [VATER ASSx'SSP-IE;IT $ TRliNK SESdER ASSESSb1ENT $ LATE?,AL BENEFIT/TRU\K SEWER $ LATERAL BENEFIT/TRUNR WATER $ ' OTHER $ TOTAL $ !pA9-L"O AMOUNT PAID/RECEIPT DOES UTILITY CONN ECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO E[VGINEERZNG DIVISIOIV. LZST AS A CONDI- TION. SUIIJECT TO THE FOLL0WING CONDITIONS: APPROVED BY: TITLE: DATE : Me s?" NMUM M? WAN wUM 50 OP 00 +« w" w.+ W,W w?? WPM wi.a V* = se si+ Ra y*= ia arg wm ? CITY OF EAGAN 3t30 Pilot Knob Road Eagan, Minnesota 55122-1897 -(651)681-4675 SITE ADDRESS: PERMIT 3213 I_VFRGI?L.EN CIR LU7: 35.4 BLOCK: 1 G)ACHMNPI HTGHf_11NI7S P.I.N.: 10-18075-350-01 DESCRIPTION: PERMITTYPE: 8 (iii 0 ziq 6 Permit Number: 0314004 Date Issued: 11 /17 % 93 f2EI;00P1 6 PLEX Buildinq Fe rmiI- Type MUt_TT. fhil'Sr,e) Building Wor•k. TyG,e: REPaI:Ft 'Census CodE 434 ALT. ftE^IO£N-lIAL ? . , . ? ' . . ? -? ... ', ?'. . ._ ... REMARKS: INCLUUES: 3215, 3217, 32 1,9, 8121 , FlPID ;?";. FEE SUMMARY: vaLuA'rioN $8.0ee Base Fee :B137.25 Surcharge Tota1 Fee $141.25 CONTRACTOR: _ Appl;ra,-,r __ OWNER: E+EISSEI. WTNDOW & SSDTNG 74516835 CDNCNMAN FIIGHLANDS ASSOC. 327.3 FVERGREEN DR 3213 LVGRGRFEN IJR EFlGRN MN 55121 EAGAN MN 55122 (*612) 451-6885 I hereby acknowledqe that S t7eve read thr.s application and state i-.haL the infiormation is correct and anrau Y,r) r;nmplv wit:h ail anp:li.ceble Stat;e of FIrF SCatutes and City ofi Eaqan Ordinances. ? APPLICANT/PERMITEE SIGNATURE L,-,i) 1 ? I ED BY: SIGNATUP ? I --- - ? . ? ? ..... .... . .. ,.,., F :f! ?I? 1`:;?i :'. ..... ...:,:.? ?i .?......,.;,.'?'. c. ?... ij .., .. .. .: ? i 9.C1 .:.(r.l:i. tff.C. illtl ?...Li. 1.3r :'S .=111 .?(1O'b I ?II `.'SI?'I[l??i??_?I?[IL. F?? f.jr71 I 1; 1!0 3 I f ;:??:;:L -3 f'„? ! r I' ?:C?J .:, ?r•`S .t?r.,J i:':!. ? lOOi. ? ;.:: r! : ,,+F:,; ?:-y .r,,-,N, T NcF N .' t ? .,.. ,{ ,( .?-'..;, ,, .. I' f fl I? r•;':?I`.. _, r.G'.?.j:? ? .?-' .?.i .. .) I .......:.?.I_,I._ ,V...:,? ? ' i ? .? i.l ' si' . . :: li.. _ ? .. ... .. ? . r qil 'i ,ri:? :??:• ,c ..S .,....[... _C_. . I':'. I ? rl ...,.! . c'...i ? . ., . . ., ?-..4 . r .'? ' '7 ... , i:JY: !: .. , . ..? ?..iF''ri I!i.^ iJ.^?r`y.7 19W 2007 RESIDENTIAL MECHAATICAL PERMIT APPLICATION Ciry Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single famity dwellings & townhomes/condas when pertnits are required for each unit Date- -7U7_ Site Address 3?-a t cL??P A rt l??o O vi ??_?k UnSt # Property Owner Telephone # Contractor S Street Address City e.- SWte Zip J Telephone# N - Bond Eapires: The Applicant is Owner Contractor Other Fire rep6ir (replace 6urned oat appilances, ductwork, etc.) r $ 90 00 This fee applies when extensive mechanidal repairs are made fo a building. . Add-on or alteretlon to exis[ing dwelling unlt Z/"?mace Z ^y 50.00 _ _Additional ' Replacement _ New ir exchanger ? ir condidoner heat pump other State SurcAarge $ .50 Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fagan and with the Mech9nical CodOS; t}lat mdeist2?td thi3 iS nOt permit, but only an application for a permit, and work is not to start without that the work will '%?{?er¢af ?n app11?d plan it7 the cI ?ee ofwor?C which requires a review and approval ofplat?? ? 1 i?'ant's_YrintedNxme e.,? _«? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomeslcondos when permits are required for each unit ,SD 30. DateoSite Address LWAQ/) /IIJ Unit # PropectyOwner Telephone #*7) Con[ractor Street Address City State Bond #: ' Zip 69?1a Telephone# (41? Expires: /? The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ i0.00 X furnace _Additional _ Repiacement ' air exchanger ? airconditioner _New _Replacement other State Surcharge $ 50 Total JI? $?r-? I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will he in accordance with the ap roved plan in the case of work which requires a review and approval o ??P.t>f4'/ Applican Printed Name PERMIT# J S LI 2002 MIDEPTIAL PLUM$INfi PEiMIT APPLICATION crrY oF EAsM 3830 fll.OT KFOB iiD EABAN, M1V 551EE 651-881,4675 Please complete for: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS. RECEIPT DATE: single family dwellings, townhomes and condos when permits are required for backFlow preventer for irripation svstem °%'PR 1 1 2002 ? TELEPHONE #: (AREA CODE) JOHNSON AA, GLORIA 3223 EVERGREEN DRIVE EAGAN, MN 55121 (651) 687-0959 TELEPHONE #: NE)FOLOM . (.4REF. CODE) CITY: 2905 ?'?ARFIELDAVE SO STATE: ZIP: MINNEAPOLIS, MN 55408 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONfALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: _ watersoftener ? waterheater $ 15.00 cqtz?d a-fcr w-tr State Surcharge $ 50 5-0 I5 Total $ , I herebyacknowledge that I have read this application, state thatfhe informatlon is correct, and agree to mmplywith all applirable Cityof Eagan ordinances. It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operetional and maintenance acfivities to the facilitles constructed under this permit within City property/right-of-wayleasement. SIGNATU E PERMITTEE 1/02 PERMIT # -A 1 RECEIPT DATE: 8008 RESIDEP17lkL PLUM$INfi PEftM1T APPI1CATtOR crrY oF EAsM S$SO PII.OT KROB 8D tAHlk1V, MA 551 EE 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irtigation system SITE ADDRESS: f103 OWNER NAME:: LGince TELEPHONE#: 92pG- (AREA CODE) INSTALLER NAME: TELEPHONE #: (AREA CO?E) STREET ADDRESS: ?,21 3 c-, CITY: L"? 4n STATE: ZIP: J:rl ??) _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixdures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ W ater turna und - existing dwelling unit (+ 5/8" mete r if n eeded -$118) _ ` _ Other: VS ti k y1/? _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 Total $ I hereby acknowledge that I have read this application, state lhatthe information is cortect, and agree to comply with all applicable Cityof Eagan ordinances. It is the applipnPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal ope2tional and maintenance activitles to the facilities conslructed under this permit withi iry prop /ng of-way/easement. ,-,_,. Ty. - //i ?/,.7 / SIGNATURE OF PERMITTEE?j 1/02 3 y?U? J 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 681-4675 3ubmft following to oD[2in structural plans ([ sets) civil plans (2 sets) code analysis (i) " soils report (1) projectspecs (1) Special Inspections & Testing Schedule " SAC determination letter from MCNVS - call 602-1000 BUIId1I157 structural plans (Z setg) civil plans (2 sets) landscaping plans (2 sets) wde analysis (1) soits repod (1) SAC determination letter from MCfWS - call 602-1 D00 Special Inspections & Testing Schedule •" (1) project specs (1) energy calculations (1) Fler.tne Power 8 Liahtina Foffn (1) " (1 set) (1) not always " (1) not always ° .. e__ 1_._a Food 8 Beverage or Lodging facilities: Plan musc pe suominea w mmrJesuca ueN41LIII_I„WI 1-a.•,,. ..u••.-•- DATE: a "/C,--qr WORK TYPE: _ NEW DESCRIPTION OF WORK: REMODEL CONSTRUCTION COST: 3100060 TENANT NAME: e?' "n1.1 y'r`' ?s ?? ? ple? SITEADDRESS:.3v7I? ?Ve2Cle ee.,/ ?2. SUITE LOT ?)t?n BLOCK SUBD. WX U.v% P.I.D. # ,,.-_--- ? Phane #: - ------ PROPERTY Lasc Fust OWNElt Street City State: --- --- ZIp' -- -------- Company:'d"SSe, / /?! ?£ ? ! C /A(( Phone N: _4-7L_?°?? ---- covTRAcro R Street Address:? ?cense # s2 s? -- City lA! State: 7rp: ARCHITECT/ ENGINEER Compaziy:__ ___ Phone fl: ____?----- Name: Registration #: Street Addmss:_?_? - -- - - City -- -- State: --------- Zip' - - Sewer & water licensed plumber (only if installing sewer & water): - I hereby acknowledge that I have read this application and state that the inforrnation- recYand-a e to comply with all applicable State o1 Minnesota Statutes and City of Eagan Ordinances. A Signature of Applicant`- OFFtCE USE ON Y code analysis project specs Key Plan energy calculations Electric Power 8 Lighting Form SAC determination letter from MCMVS - call 602-1000 BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MC/W5 System City Water Fire Sprinklered Census Code SAC Code Census Bidg. Census Unit Variance . . y Permit Fee -f a5 Surcharge CD Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge 7reatment PI. Park Ded. Trails Ded. Water Qual. Other Copies rotal: LI? % SAC SAC Units Meter Size Valuation: $ -1997 09:32 Vol", :. T? {J I? ?^ ?, .? V ? x ? ? ? 1. a? ? ty SL oGN N,??',.Io I? P.02 r, „ :c ., c: Snoc??la?se ?riV? ; ???o:::? 8 ?anSo. ? ? ? ?CJtt`l?rv? r• D IZ c r Z C U. ? j ?I e.Yrri+ K- 5?4 -7 b d C4-, E.?r?an ? 3J ?s+o R? c?Q.?. ?d, EQS?, 4? 3i?0 ??num Dr Eqc?? ( Ca rj+ B \ ? #/D , E??- ?, D?, ?? 4% ??- /.?? 332) S?siOeLe DY, Eaaa?f) 4 39 a'5"51nr, Ec-3a.n c3? 3.:;1 Ll 3 J?CA co-L G?"qu, Duo "-r D 1 o1.tie G r04? Dawid? Ca-a,s(nr) J0hn MeGrov,?y mn-fj ie lOV)el L.r- l.2?m Lo rn FeCA.t.l M? ,)c;s.,p lti Lcl c, _ i ?. { ? 2/84 ? CITY OF EAGAN f ? A PPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHT) 1) PaoPERTYADDRess: T-FyaL DESCi2i°TZC:I: (Lot/31ock/SubdLVision or Tax Parcel I.D. VLUNber) ir E{IS':'=_:G ST".?UCP'RE, DrITE v_° ORIGi 1AL .=:JIir^,L;G FZF,:•ST ISS???=: ' ,•?=--' --= , ? P?LSr?_,- ::L. ?•T-Lr,/FRC.°OSE) U5E: ? R-1 SLNCZE r^pm=Y ? R-2 DUPr.?t,.'?". ('T-h0 Wi ITS) ?., ? w x-3 TGLQt?HCI1SE (TfSRF^ + LNITS) ( UNITS) ? R-4 ApART`ENT/CCDIDa%L7?iIIU:`,I ( LNITS) Q COMMERCIAI./RETAIL,/OFFICE ? INDusTRIaL ? INSTITUTIONAI,/G0V'F.PNMIINT z) pppl,IC?V'•P (PLEASE PRINT) NPME: ?1r? ??, (`? C ADDRESS: CTTY, STATE, ZIr :?? ? PHONIE: 3) pjl,??Eq VLEASE,PRI4T) FOR CITY USE OHLY ruvME: ? b ADDRESS: (?q0 n w PLUHBERS LICENSE: pctive CITY, STATE, ZIP: Expired ?f ?7 PHOi4E:, tM `a` '? ? Q Not uf Record 7d / l ? PLf1M8ER LICENSE # ari nitia lNLtpJt-YHINIJ AUDRESS: CITY, STATE, ZIP: PHONE: 5) INDICA'PC WItICH PERr1IT IS BEIIv'G REQL7ESTID: /CC ION TO CITY S?r7ER r CO.,nQECI'IO.I 'IC) CITY LVATER ? CITIF',R (PLFASE DESCRIBE) 6) LVDIG=IL C:E: ? PL„1SE F?OID APP?2GVID PERMIT FOR PICiC-UP BY ONE OF ABOVE ? PLFASE ?TAIL APPFtOVED PER`ffT 'Iq 1, 2. 6?)qAgpVE (Circle one) 7) SI??:Am.RE: J // DATE: r? ::, . . F O R C I T Y U S E O N L Y PER^1IT °- ZSSUED F°E5: $ .v. ?c $ ia S-d $ G 3, a--o $ $ $ iS;n-e $ $ ?1 7 0 . ?a $ $ S $ $ $ S ?ssLa. a---c ? ?/8 9• r? SE:tiER nromTTi _.T (??C:. ?.- -. SU., ? '.? CEi?RGnI WATER PERP1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE REAGER WATEP. TAP (INCi,UDE CORPCRATICN STOP) SE;qER TFn ACCOUNT DEPOSI'^ - SE;VER ACCOUNT DEPOSIT - WATER WAC SAC TRU'LiK ?4ATE.°, ASSESSL-fENT TRliNK SE64ER ASSESSb1ENT LATE°.AL BENEFIT/TRUNK SEZ4ER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL w AM0UNT PAID/RECEIPT ', -'?? 0 3 ? DOES UTILSTY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY? ? YES IF YES, THEN A"'PERMIT FOR WORK SJITHIN PUSLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLO?4ING CONDZTIONS: APPROVED BY: TZTLE: DATE : ?a s? ? r??M-w 0c W : Wcw wUM wMia W wE wM Ra ncMMw s rMI WsW wa +t Wia al?" W?mw itMrrt Wr 00 ? i . I C 2/84 , j ? CITY OF EAGAN APPLICATION FOR PERMIT ? SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) 1) PROPII2TY ApDRE55: t.Frar DESCtziprzcv: (Lot/B1ock/StilbcLivision or T Parcel I.D. Nlsnber) ir ST.4L'CIT-72° , DAT' G_' ORIGii:AI, v,iILL`L`;G DF,:_,IIm ISSU?:iC:: o-- -.-? , .,.^,`7I`X:/P.-?°CS:?, L'Sz. ? R-i S?iGLE rA'?SLY ? ? 2 DLTPLEX (?tif0 LPIITS) ? I?R-3 'IOVv"NHOUSE (THRE;" + UDIITS) ( I7NTT5) ? R-4 FLpAR7Pfla:T/CJNDa,Lti1ILLI ( UNITS) ? CaT,1EE2CIAL/REI'AIL,/0FFICE ? DMUSTR7AL ? SNSTITUTIONAI./GOVEE2?2? E Z) Appj,ICpV'P (PLFASE PRIYT) NAl`1E: ??TUtQ?1`? C ADDRESS: S?.tYJILX? crrY, sTATE, zIP: PHO.IE: 3) pI13i,1BEp PLEASE PRINi) FOR CITY USE ONLY NAME' .r, ADDRESS: ?c)Oh esw' r ? PLUMQERS LICENSE: i - M Active CITY, STATE, ZIP: ?+- ) oA Expired - PHOLNE: lm? iLh pLUMBER LICENSE # Q Not af Record psOIeol att nitia 4) (X,'C,'UYANP/(7,?iIIE.4 DIFIME: kYLCqJGYH1N1f ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATG WHICH PEP,h1IT IS SEING gEQUESTEp: CCf'vNc^.CI'ION 'Ib CITY SE.Tr7EK ICJ '?-'ION TO CITY S+TATEf2 ? OTHER (PLF.A5E DESCRIBE) 6) L`dDIG,`IE C:E: ? P.TF.aSE FiOID APPRC1UEp PER"LIT FOR PICiC-UP BY ONE OF ABOVE ?°LFASE ;,41IL APPRCJVID PER%IIT TO 1, 2? 4 11PWE (Circle one) 7) SI=ZS,'RE: ??" '4' /' DATE: ??lolal_41}ld0?M !!E!:lrzlAf?lR ... . . ..... . :- .•. -.??- • ?m 1R Yl??M .j,.-on="t i':l?j?s?L et F 0 R C I T Y U S E O N L Y PEFLtiiIT " ISSUED L FEES: $ ze.5-0 $ $ $ $ $ S $ S S $ gE ;•;r,? PvA%1Ty (T,ICL;iD: SliRCH?RG77) WATER PERf1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATEP. TAP (INCL'JDE CORPORAT:.CN S:OP) SE;VE4 TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER wac SAC TRUVK :JATER ASSFSSf-1ENT TRliNK SEWER ASSESSitE;IT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRIINK WATER OTHER $ TOTAL A:tiIOUNT PAID/RECEIPT # --7? DOES UTILITY CONVECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUSLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVISZON. LIST AS A CONDI- TION. SUBJECT TO TFIE FOLL0:IING CONDITIONS: APPROVED BY: TZTLE: ? & DATE: -? i ! 1 2/84 ? CITY OF EAGAN - / ? APPLICATION FOR PERMIT - - SEWER AND/OR WATER CONNECTIODI (PLEASE P9INT) i) PuoPERTY ADDREss: .?a 1 q c?er r-ee-to LEC•r1L DESCi2I°TI^v:1: (I0t/Bl0ck/Subdivision or Tas P cei I.D. NLmber) iE•{IS='= :G STRUCP.,T.'<E, DaT G^ ORIGi JAL ,=:uiILL'IING F? ?ST ? PREJ,-?': ? R-1 SINGZE r^PM=WY ? R-2 PUPLE.Y (?S+,O iNITS) O'R-3 2'GTivNHCT-'SE (TFLRFE + UDTITS) ( UiQITS) C1 R-4 ApART"^.EvT/CGrIDQ%LNILnl ( UDIITS) Q CGYvIMERCIAL/RETAII,/OFFICE ? MML'STRSA_L ? INSTINPIDNAL/G0-v'EE2NMENT 2.) pppLlC-7_y^I+ (PLEASE PRINi) NAIfE: _ ? Su "?C7..er? S , ADDRESS: ?- S 4 ? t. QO? ?(`• CITY. STATE. ZI?: PHO'\1E: 3) pu,rMER P EASE rrkME: PPINT) A?n1?•? ?lha FOR CITY USE ONLY ? ADDRESS: . PLUHBERS LICENSE: p?i? Active CITY, STATE, ZIP: Ezpired ^ ?t'? PHOiVE: 4 d 4 " ??I ? PLUMBER LICENSE N 0 Not of Record + ari nitia 4) (X-[_;UF'ANj`/Cri%it.TEP. (YL[x]C' YnlN 1 J ?lF'. _ ADDRE55: v ? - y CITY, STATE, ZIP: PHONE: 5) INDICATE WHZCII PEPNLiT IS BEZIvY; RDQUESTEp: E?-CCDINELTION TO CITY SEYdER "Erm.^]NECTICV 'IO CITY WATER ? C7Pf'.EFt (PLE7ISE DESC:iSBE) 6) mDIC; i 0`z: ? PLE`,SE F?OID APPRWID PER+IIT FOR PICI:-UP BY ONE OF ABOVE °LEASE bTAIL APPROVED PER%lIT 'IO 1. 2,6? 4 11E9%7E (Circle one) 7) SI?*1Ti.'RE: DATE: ? ?T• v MeRa?il:alf?lJlJ?i1laE?:??l1tf.?i ' . . . ??- : . • . .. . .... ... .. .. m F 0 R C I T Y U S E O N L Y PERMIT °- ISSUED F°ES: $ io,S 1 $ /e So $ $ $ ?-s a--e $ $ 4/ 7 e. o--o $ $ $ S S $ , SF':°E? DaA41Ty (71TL.r........ JU1?.CT WATE? PERf1IT (INCLUDE SURCEARGE) WAT°R METER/COPPERHORN/OUTSIDE READER WATE? TAP (INCLUDv- COR?ORATICN STOP) SELJEB TAo ACCOUNT DEPOSIT - SEi4ER ACCOUNT DEPOSIT - WATER wac SAC TRUNK WATE° ASSESSi4ENT TRUNK SE6+TER ASSESS.IENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL 5 0. .s-d / c./ C; S? $ 989. ??d AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGEiT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PU$LIC ROADWAY" MUST BE ISSUED SY THE NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TFIE FOLLO;dING CONDITIONSc APPROVED BY: oy?? TITLE: --c.! 46 ?Ll? DATE: 7 •,e7 i -?F LP r ? ? z/a4 ; CZTY OF EAGAN ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPERPI' ADDRESS: r•Frar• DESCRIpTIC:1: ?23 .?L? p (Lot/Elock/Subclivision or Tax Parcei I.D. Nluciber) i: t'YIS=':_:C STRC''CP?2E, DaT--; OL' ORIGii1AL .'-,iiILPI:iG ?=T ISSZ:?%CJ: ? PR7JL-;r- ? t'2'-1 SLVGI-E C_tl-_NiT,Y 2 DUPIE{ ('ILN'0 Wi ITS ) V 3 TC'lA7NII3CYISE (Tf?2 EE + [InTITS) ( UN7T5) ? R-4 ApAR'IY'E?:T/CG-mC??LL1TILn1 ( INITS) ? COMMEEtCIAL/REPAII,/OFFICE p MCSTRIAL Q INSTITUTIONP,L/GCV??]'P (PLEASE PftI4T) Z) APPLICt'?V'T ` NAI1E: ? 'SV'TC? C? S' PonREss: _1? ??,??c????n?) 1??. CITY, STATE, ZIr: a}. CIlhcgd ImL] ' PHONE: 3) pLUjiBEFZ (P1LnEASE PRINi) FOR CITY USE ONLY Pl?: ? fol?A, T? N ?ib A°°RESS' 1 I? l?f? ,; ` V P?lyUyBERS LICE4SE: 0 C L ] Active 1?.,? CITY, STATE, ZIP: " ker II V)o ??82 Q Expired PHOiVE: r' 1 -1 ?SIt? ? ?"I I ? 0 Not of Record 7d ^ ?_ PLUMBER LICENSE # / arr nitia g) QCC[JpAN'I`??,7NEy ?? t YLt0.?tYHINIJ : ADDRE55: Q? -- a CITY, STATE, ZIP: PHONE_ 5) INDICAT'E WHICH PERMIT IS BEING REQUESTID: ON 'Ib CZTY SD7ER C0.]NEK.TION TO CITY WATER ? dI'EM (PLFA.SE DESCRIBE) 6) L'vDIC;!?.;: 0:-.: ? PI,FASE HOID APPRC7VF1D PEFiMIT FOR PICi:-UP BY ONE OF ABOVE °LEASE titAIL APPRCJVID Pg= TU l, 2, 3? 4 ABOVE (Circle one) 71 SI='IL":2E: DATE: ? F 0 R C PERMZT !-` ISSUED T Y U S E O N L Y FEES: $ ?o ?-a $ tn .G'Q $ $ $ $ $ $ s1 > o . a-.?? S $ $ $ $ $E;^dER nEp?tTm !T`ICLi:DE .,'..'? u ar•, C ? ., ? ) WATER PER14IT (INCLIIDE SURCHARGE) WAT°R METEP./COPPERHORN/OUTSIDF. READER WATER TAP (ZNCLliDE CORPCRATZON STOP) SE:1E4 T*.n ACCOUNT DEPOSIT - SE-A:ER ACCOUNT DEPOSIT - WATER WAC SAC TRUiVK T.VATER ASSESSMEDIT TRliNK SEWER ASSESSIIENT LATERAL BENEFIT/TRUNR SE?VER LATERAL BENEFIT/TRUNI: WATER OTHER $ TOTAL ,G o . .r! 'a< G s f $ 98 9• -s"d ANiOL'NT PAID/RECEIPT ; g DOES UTILITY CONNECTION REQUIRE EXCAVATION I[V PUBLIC RIGaT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLZC ROADWAY" MUST BE ZSSUED SY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBSECT TO THE FOLL0:4ING CONDITIONS: APPROVED BY: TITLE:-,,/ DATE: 8? ? MGs" w?M NWW? WRAN OtWOe W-w R+ fa a ffle fia wf+ w.a R? sf VWr? ?04 W4=MW=se 0,:M wc_w PcW Wa WI:i+ 10 ? i 2/84 CITY OF EAGAN ? A PPLICATION FOR PERMIT SEWER AND/OR SdATER CONNECTIODT (PLEASE PRINT) 1) PROPEEYPYADDRESS: ?r??? !?,{)?iP?(`tP?Pl7 ?I?:t7sF r.Fr?,L nESCRLE3TTcv: A_ (Lr?t/Block/Subclivision or Tax cel I.D. Niunber) ST',L'CI'L^:ZE, De?T'O G^ ORIGu1AL ;aiILCL;G F_ _.!I?r IcSZ:a,NCr': 'U5E: ? R-1 SD]GIW r^p= ? /,``( 2 DUPLE.Y (?RO W ZTS ) ? L3' R-3 ZCI^dVHC[;SE (TIIl2F"' + LP,VITS) ( UNITS) ? R-4 APAR7=^P/CCN?y7S'?iIIL^,I ( iNI:S) Q COP4MERCIAL/RESAII,/OFFICE ? INDL'STRIAL ? INSTITUTZO:VAL/GOU='ZhIIIVT ? 2) AppLICAN'T ? (PLEASE PRINi) ??: ? )IC?fT CiQr, C ADDRESS: 1- S U l)i e1,20rI CITY, STATE, ZIP: ?? '?" od- PHO-NE: 3) pLTJeffiM PLEASE PRINT) FOR CITY USE ONLY NkME: ? awnREss: PLUMBERS LICENSE: , Attive CITY, STATE, ZIP: Z-t-.'?? 1?.?..PV. Ou' Expired MA?IER Pxo„e: yiq- ?r7xI pl,UMBER LICENSE N Not ofRecord C__? att nitia 4) OCCUPADIT/Cf.,ZIEP. NAME: (YLtAStPfllNT) ADDRESS: CITY, STATE, ZIP: PHO^]E: 5) INpICATE WHZCII PEP,MIT IS BEIPIG REQUESTID: eErCG.u"QECPION TO CITY SEWER 2T'CC.:NECI'ICN 'IO CITY WATER ? 0'I'EM (PLEASE DESCFtIBE) 7) SIGNAT[,'RE: PI,EASE F?OID APPROVID PERtitIT FOR PICi:-UP BY ONE OF ABOVE PLFlASE ?TAIL APPROVID PEi2ALT 'Ib 1, 2, 30 4 AEWE (.. . ) ? ? DA'I'E: aO Ms.s:sa?:^i??in?.e.r.?e::--, ?r?F?3r•-`-.=..Q F 0 R C I T Y U S E 0 N L Y PERMIT - ISSUEO FEES: $ SE;^iEn nt'??%[rm %I`ICLi:D? SU?Cu ^ ?r?.r'.s?) $ ie,Sa WATER PERr4IT (ItdCLL'DE SURCHARGE) $ G,?. ^-r WATER METER/COPPERHORN/OUTSIDE REAGER $ WATE?? TAP (I.ICiUDE CORPORATICN STOP) $ SE:1E4 ^:3n $ ACCOUNT DEPOSIT - SEAER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNi: T.QATER ASSESSP4Et`dT $ TRliNK SE[4ER ASSES5MENT $ LATERAL BENEFIT/TRUNR SEWER $ LATERr1L BENEFIT/TRUNK WATER $ ' OTHER $ TOTAL $ 969 •?o ANIOUNT PAID/RECEIPT iar .?a-o 3 ? , DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES . IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO EDIGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLO;^IING CONDITIONS: APPROVED BY: TITLE: DATE: 7 -,j,, -FSG .e aANMf? ???owing OcM Oa otw w_+? w??e ssf ws? Ra WcMwMilwpq wCa wk M so aw wun Rm ON wp+ wmm 1 iy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConslmcLon Reauiremenb RemodeURemir Reauirements • 3 registered site surveys showlrg sq. ft DI lot, Sq. ft. M house; and all roated areab • 2 copies of plan (20% maximum lot caveiage allowed) • 1 set o( Energy Calalatlons tor heeted additbns • 2 wpies of plan slwnifg bemn 8 vnndow saes; poured found deslgn, etc.) . 1 site survey far exterior additiom & dedks • isetofEnergyCalculatians • IM&ateillwmeservedbysepticsystenforaddidons • 3 copies of Tree Preservetbn Ptan if lot platted afler 711193 • Rim Joist DetaB Options seledbn sheet (bldjs with 3 or Iess uniGa) DATE / l l -7 ?U 2 VALUATION JOB SITE ADDRESS 3'?'13 t"L"ez? /\ee-, If MULTI-FAMILY BULLDING, HOW MANY UNITS? / PROPERTY OWNER Z 4n c? ?- Sl,?„? SC ? w JY ? TYPE OF s4 'de-.s FIREPLACE(S) 2 0 _ 1 _ 2 APPUCANT PHONE# ,IS/ -?loG - 9.7/3 ADDRESS ZIPCODE ss/?! PAGER # PHONE # worlC .0"2 - 4 FAX # xEw RESIDENTIAL BUILDING ONZY - FILL OUT COMPLETELY Energy Code Category _ NIINNESOTA RiJI.E5 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Conlractor. _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 ?c,? ?. t`? a? c) a- Phone # ? All above intormatian must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPaatea 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dweliing ? 03 01 of _ plex ? 04 02-plex ? 05 0&plex O 06 04plex ? 07 05-plex ? 13 16-plex O 08 06-plex 0 16 Fireplace ? 09 07-plex ? 17 Garage 0 10 OS-plex ? 18 Deck ? 11 70.plex X19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 37 New ? ? 32 Addition O x 33 Alteration ? ? 34 Replacement Valuation A4 ??•`?? Census Code SAC Units ? Nbr. of Units Nbr. of Bldgs Type of Const ? -? Other _ Pool Ftgs Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. FC PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile RooF Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final lnsulation ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous Y•r ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 MuRi 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demalish (81dg)' ? 43 Reroof ? 46 Windows/Doors 'Demoli6on (Entire Bldg only) • Give PCA handout to appiicant r10 ? Q= FinaUC.O. HVAC L,L a 70 ° PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permiu are required for each unit Date--7- /?o /D3 Site Address 3a 19 ?v era reen ?1' : J Unit # Property pwner ,_y ?e ?'?' Telephone # ( (Cs/ ) _ 7US' I9a? Contractor G 48 Address 12725 N"? tingale St. NW 66eM RAI??B3? wnr5s4 City. State Zip Telephone # ('?'? - 755F- (p(hp ? The Appticant is _ Owner Conlractor Other Septic System New Refur'bished Su6mit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional cansultant feas may apply. Alterations To Existing Dwelting Unit, Including $ 50 00 _ Adding fxtures to lower Ievels or room additions, excluding water so ftener and water heater . _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigafion system Water softener ?Water heater _ $ 15.00 J,,-`ieplacement _ additional State Surcharge $ 50 SEP 2 9 2003 ?il. To?? l5•s b I hereby apply for a Residenrial Plumbing Pemut and aclnowledge that the info rion is complete and.accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with ?Pluinbiug'Codes; that I understand this is not a permit, but only an applicarion for a pemut, and wark is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?U--( GQViL Applicant's Printed Name Applic ts Signature 2006 RESIDENTIAL BUILDING rExMIT arrLrcnTiorr Ck ?. S?-Y3 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCfion RaQuirements RemodeUFieoair Reauiremenls ORceLse'.Ohlv 3 registered site surveys showing sq, h. of IoC sq. ft. of house; and all roofed areas 2 copies of plan shovnng footings, beams, joists Cert of SurJey ReaJ '-_ Y--- N (20% maximum bt coverage allowed) 1 set of Energy Calculafions (or heated additions Tree Pres Plap Recd Y_ N. 2 copies of plan stwwing beam & window sizes; poured found design, efc. 7 site survey for addi6ons & decks Trce Pres Reqwred Y_ N lsetofEnergyCalculations Addifion - indicateif rn-s8esepficsystem On-sifeSepficSystem '_Y _N 3 copies of Tree Pmservation Plan if loi pbtted after 711/93 Rim Jolst Detaii Options selection sheet (buildings with 3 or less uniLS) . Minnegasm mechanical ven6lation foim Date L_ % U? Construction Cost -P Zo ? M Site Address ?i 213 321S 3 Z 17, ;Z 1 y 3 2 Z I 3 Z 2 3 Unitlste # r 'v?2?n_ ?r T ? DescriptionoCWork NC1'w1[r1I ?In ?@+aS Multi-Family Bldg ? y _ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ?oAf_HmA? I4hW TP1+dr??omtS Telephone D Ir 0 5 ?006 Contractor Address 7351 ?ifQkilloo cQ tyi ? 13c? ?p / City /?IqnIL 6110vC State Zip 5531-q Telephone {! ( 'Y?3 ) (L3' DS?/y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope CalalaGOns Submitted In the last 12 monihs, has the CiTy of Eagan issued a permit for a similar plon based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( ) Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature . - - , �� 3� :3 aI Sj 3:�- 17j � � ►�� -�1 , ��.3 Use BLUE or BLACK Ink ------------------ � For Office Use � ' j Permit#: '1 �W �� j Cit� of ��Il a� � Permit Fee: ��• I 3830Pilot Knob Road Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I Staff: I Fax:(651)675-5694 � � �..�� -�_��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: cJ �"1, �� t Site Addr�s: ��' �o��" J �U�.�� VF-LIJ� Unit#: �3"3�-3 Name: Phone: Residenti °� ^� ��1 J � �Wtt@1' Address/City/Zip: J��3 ^ �d��3 � � l✓� Applicant is: OHmer 1� Contractor �.�� Description of work: �� Construction Cost: � `� � � Multi-Family Building: (Yes�/No� ' Campany: i�V b'F �- 1�,� • l�� . Corrtact:�t�'�� 1��1�� C011#C'dC��l Address: ��j0� �Ilf�� 1/� • �L.. City: �� I��lG-Nl��.L ' st�te:�� z�p: �537b Phone:�D1.2-"1��"IP13� EmaiL��{�lr.l►'1C.FL��I'n1a1��CD ' License#: �� J Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 moMhs,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor. Phone: NOTE:Plans and supporting docurr�ents that yau submit ar�e cot►sider�tl to be�ubltc�nfomratiart. Por�ns of #he ir�farmation may be ctassified'�s rwrr publtc if yc�u prQV�iale speci�c reasons#ha#wcruld�errre#t fhe Gity�cr cw»cJuc#e ti+at fhe are tr�ate secr�s, CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.c�opherstateonecalf.org I hereby acknowledge that this information is complete and aca�rate;that the work will be in conforrnance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but onty an application fior a permit, and work is not to start without a pertnit; that the wro�ic will be in accordance with the approved plan in the case of work which requires a review and approval of plaru. Exterior work authorized by a building permit issued in accordance with the tabe Bui in Code must be completed within 180 days of permit issuance. x ^�� x ApplicanY Printed Name Applicant' ign ure Page 1 of 3 Use BLUE or BLACK Ink For Office Use City of ,11° P(� Permit#: /zir v 70 1Jix Permit Fee: a5-- 06 Cc 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Staff: Fax:(651)675-5694 2016 SEWER AND WATER REPAIR/ DISCONNECT PERMIT Date: /2./2 2 Fee: $65.00 )( City Sewer City Water Repair Disconnect � / / Description Of Work: ��l�-f2 5 „ �� %/J.; � �„�d //� Street Address for Proposed Work .� .r2 ass- ?32-6Name: �) s--.1-,-73 �f l” (.L Phone: 4 ;,0:4#1::441:;,10. 0#4:-.--Orm Address/City/Zip: 2-1 i . �v�,,,--7,,,e.e."-7 (Jr, ' Applicant is: Owner - Contractor Licensed Pipelayer Master Plumber Property Owner Name: 6e.t.A.e.-3 L 4-. -0-- e it?- Phone: ( I Z-- '237 --373-7 Address/City/Zip: 3 i„?cf at, i . "u Pipelayer Training Certification Card#: 704-1:3 or Master Plumber License#: I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this.is not a permit, but ly an application for a permit, and work is not to start without a perm ., CIA— I -Cfe--1.-5-- —___C —r Applicant(Print Name) Applicants Signature CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq Use BLUE or BLACK Ink For Office Use *City of Ea Permit Fee: ate. 3830 Pilot Knob Road Eagan MN 55122 ..$,„ a t Date Received: Phone:(851)575-5875 buiidinainspectionstlalcitvofeagan.com SEP 1 9 2017 Stab 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: C,4> *N".ZAN t;h 17 e' ' Phone: ` s .;),Si R@Sitnt/ Owner Address/City/Zap: �l v rzv-c v-zr�,n rti Jt1 3.. Applicant is: Owner 'X Contractor Type of Work Description of work e- :-1-i & 1 4- e,--kz ti Construction Cost Multi-Family Building:(Yes ) /No ) Company: �`a .� ._ -n=�'rt .mac l\ :►# (tic., Contact VW. Contractor- Address: 2.-1 Sc' '^S1t-� jfis—. ` City: 1�-a:2.AVa'-.v' stare:i ;,.> Zip: �S�>� s Phone: I.2"' )-03.13 Email: 5.1:\D-2,..0.0,-,s44. 1:i , h5.4PrN .:` . r M License#: i L 13?, � 1 ct Lead Certificate#: ij /I- If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documentsthat you submit are considered to bepublicinfomunton. Portions ofthe intimation may be classifiedasnon pub icityou-provide specific masons that wouidpermit the cyto conclude-that they are=trade�secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citVofeagan.condsubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities_ www.ropherstateoneca6.orc I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this Is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. '743� �l�r=�$`ir° �j (�;-`r.i. 4�r'> r, _ �s �C"I` '7 1 -al X si Cir' _ L----- Applicant's Printed Name f�4 Applicants Signature' Page 1 of 3 r3 13 U DOO` lam/ -7l 4, ( NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 2 ., ' Occupancy tifvt'" 3 MCES System Plan Review Code Edition "V g, 1 '", SAC Units (25% 100% ) Zoning (1 3 City Water Census Code Stories 1� Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 'V6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: x Footings (Deck) Final/C.O. Required Footings(Addition) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: ,,, Reviewed By: I , Building Inspector RESIDENTIAL FEES Base Fee r iovr SurchargeI ),,eit., 4.,_fpri, Plan Review ,,f1 j' MCES SAC City SAC Utility Connection Charge re ' S&W Permit&Surcharge . Treatment Plant pf" Copies , ' 0 2 TOTAL ;, , Page 2 of 3